EP4267049A1 - Manchon et procédé d'utilisation avec dispositif orthopédique - Google Patents

Manchon et procédé d'utilisation avec dispositif orthopédique

Info

Publication number
EP4267049A1
EP4267049A1 EP21844577.3A EP21844577A EP4267049A1 EP 4267049 A1 EP4267049 A1 EP 4267049A1 EP 21844577 A EP21844577 A EP 21844577A EP 4267049 A1 EP4267049 A1 EP 4267049A1
Authority
EP
European Patent Office
Prior art keywords
band
sleeve
tacky
knee
lateral
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP21844577.3A
Other languages
German (de)
English (en)
Inventor
Sindri Pall Sigurdsson
Hronn KRISTINSDOTTIR
Christophe Valois
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ossur Iceland ehf
Original Assignee
Ossur Iceland ehf
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ossur Iceland ehf filed Critical Ossur Iceland ehf
Publication of EP4267049A1 publication Critical patent/EP4267049A1/fr
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0106—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the knees
    • A61F5/0109—Sleeve-like structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees

Definitions

  • the embodiments of this disclosure are directed to a sleeve for use with an orthopedic device.
  • the sleeve is arranged for intimately fitting to, supporting, and guiding anatomical segments or joints with an orthopedic device placed thereover.
  • Orthopedic braces and supports are arranged to restrict, inhibit, immobilize, or otherwise control motion about the human body's anatomical segments or joints. These braces and supports provide compression, support, and stability. Many known braces and supports incorporate rigid members and hinges for immobilizing a joint or facilitating movement of the joint. Orthopedic bracing has tended toward greater rigidity to provide ultimate immobilization with a reduced margin of error in mobility.
  • Flexible orthopedic devices and sleeves provide anatomical fit by conforming to a user's anatomy for physiologically correct support. They are flexible and arranged for contouring to a body or joint to minimize movement restriction and discomfort. The devices may be configured to stretch in different ways to enable greater muscle stability. Because of their sizing and fit, these devices support and improve circulation and reduce pain and inflammation. Other types of flexible orthopedic devices and/or sleeves may include Neoprene and/or other textiles and materials and may include other tubular configurations or other shapes and configurations.
  • the frictional material that serves to hold the orthopedic device in place must have low frictional qualities to allow the user to slide the support on the leg, which has the undesired effect of reducing the effectiveness of anti-migration means and control. Compensating for the use of low friction materials with a more highly compressive body panel to better hold the device in place also creates problems, as highly compressive body panels are extremely difficult to don. When donned, they are uncomfortable for a user and are thus not suitable for extended use. These current means for migration control require improvement to balance and optimize migration control, ease of use, and donning and doffing the support.
  • Strap designs in existing devices mistake the proper placement of straps and thus do not offer optimal support for pathologies such as osteoarthritis users.
  • Many orthopedic devices feature straps connected at a crossing or intersecting point on the orthopedic device, usually directly at and over the hinge located on the device's medial or lateral side.
  • this is not an ideal placement of the intersection of the straps, as it does not effectively unload the knee and thus does not effectively treat the underlying condition, such as osteoarthritis. Straps may also be difficult to apply and adjust repeatedly.
  • straps may stray from their intended location on the brace, reducing their effectiveness. Straps may also get tangled with each other or be damaged by external forces.
  • Patella supports are frequently ineffective at holding the patella in position as the patella supports themselves, which often take the form of a pad attachable within a tubular body, are prone to migration or translation along a user's skin. Patella supports also can create pressure points or be inflexible, which further adds to user discomfort.
  • a sleeve is arranged for intimately fitting the limb and joint of the user and solves the problem of rigid braces and supports deterring a user from proper use and not facilitating joint motion activities.
  • the sleeve is arranged to be worn with an orthopedic device, and lock therewith.
  • the sleeve solves the problem of orthopedic devices, including flexible orthopedic devices and sleeves, having ineffective migration control and being difficult to don/doff, by serving as an interface between the user's leg and the orthopedic device.
  • the sleeve may have bands or regions integrated and/or attachable into the device's construction to restrict and guide the joint, and cooperate with the orthopedic device.
  • These bands may be formed from metallic yams, fusible, textiles, thermoplastic fibers, elastics, or other suitable materials and elements.
  • the bands may be knit or inlayed during construction of the fabric brace, or mounted externally of the brace; alternatively, they may be modular and attachable to the device or components thereof for each adaptation in the initial installation use.
  • the sleeve's embodiments define a compliant, yet comfortable garment arranged to biomechanically provide motion restriction/facilitation of a joint or body segment.
  • the embodiments are preferably adjustable in functional capacity to match a user's treatment plan's biomechanical requirements throughout rehabilitation.
  • the sleeve may include various comfort factors to facilitate maximal compliance of the user throughout their treatment, such as profile, breathability, compression, flexibility, and rigidity.
  • the sleeve may be functionally knit.
  • the sleeve may be provided with zones of different elasticity or devoid of elasticity, toughness, durability, and compressibility.
  • the knitted structure of the sleeve has varying zones of compressibility serving as padding, which zones can be provided with other components, such as straps.
  • the sleeve may define at least two zones whereby the first zone has a more compressible knitted structure over which straps extend. In the second zone, the knitted structure may be thinner and more elastic than the first zone not to inhibit the movement of the orthopedic device about the user.
  • Embodiments are provided with zones of differing elasticity to offer improved support and migration control over existing devices.
  • the sleeve is configured with a locking cuff, preferably located at a proximal end, adapted to fold over a proximal portion of the orthopedic device.
  • the sleeve's exterior surface at the locking cuff may include a tacky material and/or band arranged to frictionally engage the exterior surface of the orthopedic device after the locking cuff is folded over the proximal portion of the orthopedic device. Therefore, unlike in prior art sleeves, the tacky band is disposed about an exterior circumference of the sleeve, and rather than the tacky band engaging with the skin of a user, it is used to engage the orthopedic device to inhibit migration over the user's leg during movement of the leg.
  • the sleeve may be advantageous for various orthopedic devices, as it may be arranged irrespective of the orthopedic device.
  • the sleeve may be sized and dimensioned to extend proximally and distally of orthopedic devices.
  • the sleeve may be sized and dimensioned to correspond to a particular type of orthopedic device.
  • it may have anatomical bands disposed of thereabout to accommodate both anatomical portions of a leg. Straps and frame members of an orthopedic device are provided to inhibit migration and augment the orthopedic device's efficacy, yet when combined with a sleeve, the sleeve can better distribute compressive and tensile forces on the user's leg exerted by the straps and frame members.
  • the anatomical bands may correspond to a user's knee and offer additional support to the knee in combination with the frame members and/or straps of the orthopedic device.
  • the sleeve may advantageously offer proprioceptive properties to the user, thereby compressing the leg about which the sleeve secures.
  • the sleeve is breathable, as it is preferably a knitted textile structure, and securely fits the leg through the inherent elasticity of the sleeve and/or with bands displaced thereabout, such as at the proximal and distal ends, even with the locking band folding over to engage the frame of the orthopedic device.
  • the proprioceptive properties may improve compliance in wearing the orthopedic device by offering improved comfort.
  • the locking band's migration control comprises a frictional material placed about and/or on a knitted structure of the sleeve or in sections at a predetermined location or locations of the sleeve, such as a top or proximal end.
  • the frictional material is preferably deposited and permanently secured along the exterior surface of the sleeve.
  • the frictional material may be arranged in a pattern to provide breathability but balance tackiness and friction against a user's skin with comfort.
  • the sleeve is arranged with a cuff that bears the frictional material and can be folded over onto the orthopedic device to lock it therewith.
  • the orthopedic device's surface texture or material is arranged to assure a secure fit with the sleeve's frictional material.
  • the sleeve is donned before donning of the orthopedic device.
  • the cuff can be folded to a position allowing for engagement of the frictional material against the orthopedic device.
  • the sleeve may include appropriate markings or indicia to guide a user to the extent the sleeve is to be folded to facilitate donning and subsequent engagement of the frictional material against the orthopedic device frame.
  • FIG. 1 is a perspective view of an embodiment of the sleeve in combination with an exemplary orthopedic device.
  • FIG. 2A is a schematic elevational view of an embodiment of the sleeve in an unfolded configuration.
  • Fig. 2B is a schematic elevational view of the sleeve in Fig. 2A in a folded configuration.
  • FIG. 3A is a schematic view of a kit comprising an embodiment of the sleeve and an exemplary orthopedic device.
  • Fig. 3B is a schematic view of the sleeve of Fig. 3 A being donned on a user's leg.
  • FIG. 3C is a schematic view of the sleeve of Fig. 3 A donned on a user's leg.
  • Fig. 3D is a schematic view of the donned sleeve of Fig. 3C in an unfolded configuration with the exemplary orthopedic device.
  • Fig. 3E is a schematic view of the sleeve of Fig. 3A being folded into the folded configuration over the exemplary orthopedic device.
  • Fig. 3F is a schematic view of the sleeve of Fig. 3 A in the folded configuration and locked with the exemplary orthopedic device.
  • the sleeve is preferably functionally knit, with different properties extending along its length, and the sleeve may likewise be knitted with different yams to obtain such functional features.
  • the sleeve may be formed as explained in U.S. Pat. No. 10,758,393, U.S. Pat. App. Publ. 2019/0142620, and U.S. Pat. App. Publ. 2019/0105188.
  • Various embodiments of the sleeve may utilize flat knitting, which allows the production of textile structures into a final desired shape, so there is no cutting and very minimal waste.
  • Flat knitted elements are formed directly in the desired three-dimensional shapes or modular panels, which can help avoid the need to use additional support structures.
  • the sleeve embodiments may be constructed as taught in U.S. Pat. App. Publ. 2019/0142620, including the different bands or regions having different elasticities and the coating of the knitted sleeve with a frictional material.
  • Embodiments of the sleeve preferably may be formed from a knitted textile support having a shape created on a knitting loom including, but not limited to, various warp knitting, circular knitting, or weft (flat) knitting processes.
  • Embodiments of the sleeve may take the form of a garment.
  • Support areas may include several textile elements combined into one textile support panel with unitary construction or a group of modular panels for treating a medical indication.
  • the textile panel or panels' body provides a biomechanical range of motion, compression, and therapeutic elements integrated into a single panel or panels that may form a garment. Three-dimensional flat knitting allows the production of these textile structures into a final desired shape to avoid cutting and waste.
  • Each panel or series of panels may have areas of gradient levels of stretch, flexure, rigidity, and restrictive elements integrated into the fabric by mapping the levels of motion or restriction required for a medical indication. These possible configurations may be achieved through a corresponding knit stitching technique system that starts with yams.
  • Knit stitching techniques create varying degrees of elasticity, rigidity, open channels, tunnels, and intarsia zones of specialized yams integrated into the base fabric.
  • the first area of knitting may be formed of a first stitch configuration
  • the second area may be formed of a second stitch configuration different from the first stitch configuration to impart varying textures or properties to a surface of the textile element. These properties may include antibacterial, cooling, warming, elasticity, rigidity, compression, wicking, and/or color.
  • the knitted base of the sleeve can comprise natural and/or synthetic yams: silk, wool, polyester, nylon, olefin, and interlaced with specialty yams: moisture management, elasticized, fusible, metallic, Kevlar, silicone, and other types of performance yams knit into fully fashioned, textured, intarsia, or three-dimensional regions and appendages such as connected tubes, circles, open cuboids, straps, spheres, and other integrated knit shapes.
  • Flat knitted elements may be formed directly in the desired three-dimensional shapes or modular panels, which can help avoid the need to use additional support structures and emerge from the machine ready to be sewn together, saving on manufacturing costs.
  • This fully fashioned knitting technique adds or drops stitches to create custom two- and three-dimensional shapes appropriate to the desired finished garment structure.
  • the intarsia areas may comprise threads or yams isolated into specialized zones, using silicon, Kevlar, fusible, nylon monofilament, Dynema, spandex, and/or other specialty performance yams knit into the fabric to enable that region to perform a function. These areas can be arranged into any flat, textured, or three-dimensional shape required for load mapping the garment for the medical indication.
  • the load mapped zones may be further achieved by combining knit stmctures (knit, tuck, miss), transferring loops, dropping or adding needles, segmenting takedown in varying rates across the width of the garment fabric, varying stmctural elements, inlaying yams, weft insertion, direct feed, warp insertion, and the varying speed of yams fed into the system.
  • knit stmctures knit stmctures
  • transferring loops dropping or adding needles
  • segmenting takedown in varying rates across the width of the garment fabric
  • varying stmctural elements inlaying yams, weft insertion, direct feed, warp insertion, and the varying speed of yams fed into the system.
  • varying stmctural elements inlaying yams
  • weft insertion weft insertion
  • direct feed warp insertion
  • warp insertion direct feed
  • Control of joint range of motion includes motion inhibition, restriction, or prevention.
  • the control may be obtained through altering the tension in a garment on a tangent to the skin controlling motion through shear loads (at a tangent to the skin).
  • Control of joint range of motion and soft tissue may be assisted through compression or loading, at or near a normal direction to the skin and/or garment's surface.
  • the normal motion may be disrupted by an intimately fitting garment with restrictive bands integrated therein for constructing the sleeve.
  • the restriction may be created by altering both the yam and the weave of the fabric.
  • the interface between fabric and skin can vary. Some areas can be low stretch and have high friction or tackiness bonding the fabric to the skin. These regions form an anchor for the stabilization of the garment to the core and the extremity.
  • zones may provide greater compressibility or padding than others and may be arranged with the sleeve components. For example, certain zones may have greater compressibility brought by the knitted structure or simply the physical stmcture, as in a greater thickness. In addition, these zones may have overlapping or integrated elements, such as straps, hinges, stays, and other common brace components. The zones of greater compressibility provide protection and comfort to the user by mitigating the user's exposure of the components and their interaction with the movement of the sleeve.
  • the orthopedic device embodiments may serve in protective, preventative, or remedial capacities. While the orthopedic device is described within a preferred embodiment directed to the knee, many of the features described herein may be extended to various orthopedic devices and components that secure other joints and body parts.
  • the orthopedic device embodiments and components for use with the sleeve may be dimensioned to accommodate different types, shapes, and sizes of human joints and appendages.
  • Embodiments of the sleeve may be modified to orient principal forces exerted by strap systems of the embodiments at any desirable location to secure the device onto a leg to stabilize the joint.
  • the knee joint comprises lateral and medial joints between the femur and tibia and one arthrodial joint between the patella and femur.
  • the primary movements of the knee comprise flexion, i.e., rearward rotational movement of the tibia relative to the femur (the completion of flexion ideally resulting in a fully bent leg), and extension, i.e., forward rotational movement of the tibia relative to the femur (the completion of extension ideally resulting in a fully straightened leg).
  • each orthopedic device and sleeve embodiment or component thereof described herein may be divided into sections denoted by general anatomical terms for the human body. Such anatomical terms are provided to distinguish various elements of the device embodiments from one another but are not to be considered to limit the scope of the disclosure.
  • proximal and distal generally refer to locations of the device that correspond to the location of the leg relative to the point of attachment of the leg to the body.
  • upper and lower may be used in combination with “proximal” and “distal” to connote gradations in the location of "proximal” and “distal.”
  • the location where the device corresponds to the knee joint is used herein to delimit the proximal and distal sections of the device generally.
  • the embodiments of the orthopedic device and sleeve can also be considered to fall within "anterior” and "posterior” sections of an anterior-posterior plane.
  • the anterior-posterior plane generally corresponds to the coronal or frontal plane of a human leg, which lies along the central longitudinal axis of a body (for exemplary purposes, the longitudinal axis X-X in Fig. 2). Therefore, a posterior side or element is located behind this anterior-posterior plane, whereas an anterior side or element is located in front of the anterior-posterior plane.
  • the terms “medial” and “lateral” are relative terms that are generally understood as indicating location concerning the midsaggital plane or midline. Therefore, elements near the midline are referred to as “medial” and those elements that are further from the midline are considered to be “lateral.”
  • the term “central” denotes the area along the midline of a joint, thereby dividing and sharing regions of the medial and lateral regions.
  • the terms “rigid” and “flexible” may distinguish characteristics of portions of certain features of the orthopedic device and the sleeve.
  • the term “rigid” should denote an element of the device is devoid of flexibility. Within the context of the frame or support members or shells that are “rigid,” it should indicate that they do not lose their overall shape when force is applied, and they may break if bent with sufficient force.
  • the term “flexible” should denote that features are capable of repeated bending such that the features may be bent into retained shapes or the features retain no general shape but continuously deform when force is applied.
  • adjacent means one element is continuous or directly connected to another element, thereby sharing a border.
  • continuous knit and its immediate variants such as “continuously knitted” means a textile having a continuous knit face without integrally formed or engineered openings (e.g., without intentionally dropped or transferred stitches) or seams. Examples would include a single jersey knit construction, a half tricot knit construction, a double jersey knit construction, and the like.
  • cuff 1 is considered an end part of the sleeve at at least one of the open ends, whereby the material of the sleeve at the cuff is capable of being turned back.
  • discrete means a finite area that does not overlap another site or portion or region.
  • the term "elastic” means being capable of recovering in size and shape after deformation. In the instance of a cuff of a sleeve, the cuff may be deformed by enlarging its circumference by exerting force or resisting as it is enlarged to fit over a limb and returning to its initial state without the exertion of force or resistance to a larger shape.
  • the terms "integral” or “integrally knit” or “integral construction” mean that components are secured to, formed with or joint to, and function as a single article in one piece.
  • “Integral” by itself means being manufactured together simultaneously; that is, being made together as one part and not two separately manufactured parts.
  • “Integral” also means at least one textile element that extends between different textile and/or sleeve areas.
  • the term "mesh” means a textile having a knit construction where openings are created by modifying the knitting process used to form the textile (e.g., by dropping or transferring stitches).
  • pressure-sensitive adhesive means a nonreactive adhesive that forms a bond when pressure is applied to bond the adhesive with a surface. No solvent, heat or water is needed to activate the adhesive. The pressure-sensitive adhesive forms a bond and holds properly at room temperature, and the degree influenced by the amount of pressure.
  • sleeve is accorded its ordinary meaning as a tubular part arranged to fit over a limb, whether an arm or leg, and at any portion of such arm or leg.
  • the sleeve is defined as having first and second opposed open ends, in which either end can accommodate a portion of an arm or leg.
  • the term "textile” means a woven or knit fabric formed from interlocking fibers, filaments or yams.
  • the term “fabric” may be made through weaving, knitting, spreading, felting, stitching, crocheting or bonding that may be used in the production of further products.
  • tacky means sticky to the touch and is provided by material properties of a material. 'Tack' is the measure of initial grab or stickiness of an adhesive tape or substrate without or light the application of pressure.
  • an orthopedic device 10 is arranged as a knee brace, with the depicted exemplary embodiment being an osteoarthritis brace according to U.S. Pat. App. Publ. 2019/0105188, and provided in combination with a sleeve 100 according to the invention. While the embodiment of the orthopedic device in Figs. 1 depicts an osteoarthritis brace, the sleeve 100 may be used with other types of knee braces.
  • the sleeve 100 includes a main body panel or main panel or main body 102 arranged in this embodiment as a knit tubular sleeve having first or proximal and second or distal regions 104, 106. The first and second regions 104, 106 are continuously knit to one another to maintain a structure without interruptions.
  • the first and second regions 104, 106 are integral and continuously knitted with the threads or yams interwoven to one another rather than forming sections stitched to one another by additional threads or yams and/or seams. While integrally knit to one another, the first and second regions 104, 106, and the main body 102 may be considered discrete relative to one another because they are demarcated relative to one another by their properties elasticity and/or color. Alternatively, the main body 102, and the first and second regions 104, 106 may gradually transition into one another due to sharing certain properties of their knit, including shared elastic yams.
  • main body 102 is arranged as a tubular sleeve, other configurations and shapes may be suitable, with the tubular sleeve being dimensioned and configured according to the intended anatomy upon which the sleeve is donned.
  • the sleeve 100 defines a locking cuff 108 arranged to fold over and engage a first or proximal frame portion 12 of the orthopedic device 10. By engagement, it is intended that the locking cuff 108 frictionally secures against the first frame portion 12 to prevent movement between the first frame portion 12 and the locking cuff 108.
  • This arrangement inhibits migration or movement of the orthopedic device 12 on the user's leg as the sleeve elastically engages the user's leg and engages with the orthopedic device 12 to keep the leg, sleeve and orthopedic device in a locked configuration with one another.
  • the locking cuff 108 extends over at least a first edge 20 of the first frame portion 12, and elastically secures over the frame portion 12 by enlarging in circumference to a fitted circumference and returning to an initial circumference without enlarging, as would be the case in the embodiment and state of Fig. 2A.
  • the selection of a material disposed about the locking cuff 108 is selected to enhance the resistance of movement of the locking cuff 108 to the exterior surface of the first frame portion 12.
  • the material on the locking cuff is arranged to rub against the exterior surface and form a frictional connection.
  • the locking cuff is held in place due to frictional forces that resist relative movement between the frame locking cuff. Such frictional forces are in contrast when compared to simply rubbing the textile, without the frictional material, of the sleeve against the first frame portion, which likely provides minimal frictional resistance to movement relative to one another.
  • Fig. 1 depicts the sleeve 100 being longer than the orthopedic device 10.
  • the orthopedic device has the first frame portion 12 and the second frame portion 14 connected by a hinge 16, including a strap assembly 18.
  • An entirety of the orthopedic device 10 extending over the sleeve 100, with the first and second regions 104, 106, particularly the proximal edge 105 and the distal edge 107 extending in the proximal and distal directions Pr, D beyond a first or proximal edge 20 and a second or distal edge 22 of the orthopedic device 10.
  • the sleeve length 100 minimizes possibly chaffing as the interface underneath the orthopedic device is taken up by the entirety of the sleeve, even if the orthopedic device includes conventional padding (not shown).
  • Fig. 2 illustrates the sleeve 100 having the locking cuff 108, which includes a tacky band 110 extending along with the exterior surface E of the sleeve 100.
  • the tacky feature or material of the tacky band 110 only extends about the exterior surface E of the sleeve 100 in that the tacky feature or material of the tacky band 110 is not present on an interior surface I of the sleeve 100.
  • the tacky band 110 extends completely about the circumference of the sleeve 100.
  • the tacky band 110 may be defined by circumferential segments, each spaced apart by one another, or the tacky band 110 is defined by a collection or pattern of tacky elements.
  • the tacky band 110 may be arranged in locations corresponding to the shape of the first frame portion 12 of the orthopedic device.
  • the tacky band 110 may be formed from silicone or other suitable tacky and frictional material deposited and permanently secured to the elasticized textile material of the sleeve, forming a first textile band having the height 126.
  • the first textile band underlying the frictional material may have localized elastic properties contrasting to other elastic properties of the sleeve 100 in that the first textile band may have greater elasticity to securely position the tacky band about the orthopedic device, such that the increased elasticity improves the frictional properties.
  • the receiving band and the distal band may be knitted with any of the aforementioned yams and knitted structures to adapt the sleeve to desired elasticity at such portions of the sleeve.
  • the level of tackiness it not intended to damage the substrate or surface upon which the tacky band contacts. It is intended that the level of tackiness is selected to permit repeated holding of the tacky band to a surface and removal therefrom without damage to the tacky band and the surface.
  • the silicone may serve as a pressure-sensitive adhesive, and the adhesion and tack may be dependent on the thickness and formulation of the silicone on the first textile band.
  • the silicone pressure-sensitive adhesive may be selected upon a variety of criteria, as shown, by example and in a non-limitative manner, in "Choose Dow silicone PSA for high performance," published in 2019 by the Dow Chemical Company, and incorporated herein by reference.
  • the tacky band 110 defines a distal edge 136 at which it interfaces with a non-tacky band 112 of the locking cuff 108, located distally from the tack band 110.
  • a thickness of the sleeve 100 may be greater at the tacky band 110 than the non-tacky band 112, inclusive of a tacky or frictional material disposed on the textile material, with the tacky material and the textile material combining to form the tacky band 110.
  • the frictional material may inhibit the elasticity of the underlying textile material of the tacky band 110, thereby providing a securer compressive portion of the sleeve when folded over the orthopedic device.
  • the tacky band 110 may define the proximal edge 105 of the first end 104 and has a height 126. While there is no preferred height 126, it may be modified according to the degree it is desired to include frictional material about the tacky band 110.
  • the non-tacky band 112 has a height 128 combining with the tacky band 110 generally a same height as a height 130 as the receiving band 116, or the height 128 of the non-tacky band 112 and/or or a height 130 of the receiving portion, each being greater than the height 126 of the tacky band 110.
  • the locking cuff 108 includes the tacky band 110 and a non-tacky band 112 located adjacent to and distal from the tacky band 110.
  • the non-tacky band 112 is formed from a second textile band having the height 128.
  • the first and second textile bands 110, 112 may have different elastic properties or possess the same elastic properties.
  • the locking cuff 108 terminates distally at a fold-line 114.
  • the fold-line 114 may comprise a stitching or coloring distinguishing the locking cuff 108 from a receiving band 116 along the sleeve length relative to a central longitudinal axis X-X of the sleeve 110, as depicted in Fig. 2A.
  • the receiving band 116 preferably extends adjacently and distal from the non-tacky band 112.
  • the receiving band 116 and the non-tacky band 112 may have the same or different elastic properties.
  • the receiving band 116 is demarcated along its distal edge 138 from a central tubular portion 117 of the sleeve body 102.
  • the sleeve body 102 defines a distal band 118 having different elastic properties than the central portion of the sleeve 117.
  • the distal band 118 preferably has a height 132 less than the height of the tacky band 110.
  • a central portion 117 of the sleeve body 102 is preferably defined between the receiving band peripheral edge 138 and the distal band 118 includes an anatomical band 120 arranged to contour a user's anatomy.
  • the anatomical band 120 has different elastic properties than portions of the central portion 117 outside of the anatomical band 120.
  • the anatomical band 120 defines a lateral/medial band 122 arranged to extend generally between and directed along with at least one lateral or medial side of a user's leg.
  • the lateral/medial band 122 is arranged to extend proximal of the knee.
  • the lateral/medial band 122 may taper in width 134 as it approaches a knee portion 140 of the sleeve.
  • the lateral/medial band 122 extends to the distal edge of the receiving band 138 and has the greatest width thereat.
  • the anatomical band 120 defines a knee band 124 continuously extending from the lateral/medial band 122 along a first medial or lateral side of a user's leg and is adapted to generally extend transversely from the lateral/medial band 122 and arranged to correspond to a knee.
  • the knee band 124 preferably extends distal of the knee.
  • the knee band 124 may symmetrically extend distally of the knee and/or may be asymmetrical extending continuously to a second lateral/medial band 142 extending along an opposite lateral or medial side of a user's leg.
  • the knee band 124 extends or dips below a centerline 146 of the sleeve 100 generally corresponding to a user's knee's centerline.
  • the lateral/medial band (122) has a proximal portion 143 and a distal portion 144 alongside the same lateral or medial side of the user's leg.
  • the knee portion extends arcuately from the proximal and distal portions 143, 144 of the lateral/medial band 122.
  • a first side of the anatomical band 120 defines proximal and distal portions 143, 144 and a second side of the anatomical band 120 defines only a proximal portion 142.
  • the proximal and distal portions 143, 144 correspond to first and second frame portions 12, 14, respectively, and the hinge assembly 16 of the orthopedic device 10.
  • the anatomical band 120 may define portions corresponding to the strap assembly 18.
  • the opposite medial/lateral band 142 may be arranged to counteract or facilitate the donning of the sleeve according to its elastic properties.
  • the sleeve body 102 has at least one knitted structure adapted to resist sliding of the orthopedic device 12 thereon.
  • the locking cuff may include fiber or fiber combination or yams comprising Tencel, polyamide and Lycra, and may be rib knitted.
  • the locking cuff may have a knitted structure that imparts greater elasticity and yams that offer greater elasticity, as specified.
  • the tacky or frictional material may be silicone which is inherently tacky and offers improved frictional properties over the knitted structure underlying the tacky or frictional material.
  • the tacky or frictional material may impregnate the knitted structure to securely integrate with the knitted structure. Due to tacky or frictional material having greater resistance to elasticity than the underlying knitted structure, the tacky band can pressure the orthopedic device when in a folded configuration.
  • the non-tacky band may be similarly knitted as the underlying material in the tacky band, yet because it is not coated on the exterior surface, it has greater elasticity, which may be advantageous as it may extend over and be more compliant to the proximal edge of the orthopedic device.
  • the tacky band can be focused on provide radial tensile forces about the orthopedic device.
  • the sleeve body may be constructed with a knitted structure including Tencel, polyamide and Lycra with some polyester.
  • the sleeve body's knitted structure may include the anatomical band, which may have added yams of different types or be stitched differently than areas of the sleeve body outside the anatomical band.
  • the anatomical band is preferably knitted with yams of a different color than the sleeve body to offer guidance on the sleeve placement.
  • the sleeve body may have a patella region, i.e., the demarcated zone with the knee indicia 148 in Figs. 3B and 3C, knitted with differently colored yams and with a structure to improve elasticity at the knee.
  • the popliteal region behind the knee may include a mesh to improve breathability.
  • Figs. 3A-3F generally show the method for donning the sleeve over the leg of the user in combination with the orthopedic device.
  • Fig. 3A shows a kit comprising the orthopedic device 10 and the sleeve 100 for placement over a user's leg L and knee K.
  • Fig. 3B illustrates the user pulling the first end portion 104 of the sleeve 100 in a proximal direction Pr over the user's leg to proximate the sleeve 100 over the knee K about the center line 146.
  • the center line 146 is illustrated for exemplary purposes to show the proper positioning of the sleeve.
  • the anatomical band 120 is lined up according to the knee K and possesses the aforementioned portions corresponding to the user's leg L and knee K.
  • the user may use the grip provided by the frictional material to hold the sleeve 100 as it is donned on the leg.
  • the sleeve 100 may define indicia 148 that corresponds the patella or knee K of the user to assure proper placement of the sleeve over the leg L.
  • Fig. 3C illustrates the sleeve 100 donned on the leg and lined up according to the knee K, with the anatomical band 120 lined according to the user's leg.
  • the locking cuff 108 is unfolded.
  • FIG. 3D illustrates the orthopedic device 10 lined up relative to the locking cuff 108 and the anatomical band 120.
  • the locking cuff 108 is still in the unfolded configuration until the orthopedic device 10 is properly donned and lined up with the sleeve 100.
  • FIG. 3E illustrates the folding ofthe locking cuff 108 atthe foldline 114 over the exterior surface E of the orthopedic device 10.
  • the interior surface I of the locking cuff 108 is exposed and the exterior surface E of the locking cuff 108 frictionally engages the first frame portion 12 of the orthopedic device 10.
  • FIG. 3F illustrates the sleeve 100 with the locking cuff 108 in the folded configuration.
  • the first and second frame portions 12, 14, the strap assembly 18, and the hinge assembly 16 extend over the exterior surface E of the sleeve 100.
  • a sleeve may include straps or locking tabs for added function to the sleeve and connection to the orthopedic device.
  • the straps can be external, or they may be knitted into the brace, or they can be knitted as zones of low elasticity into the brace.
  • markers may be provided on the strap to guide the user on applying the strap or adjusting the cables for tensioning or reducing tension in the strap.
  • the markers can be knitted into the knitting of the sleeve or otherwise applied, such as by heat transfer.
  • straps or bands can be laminated into or over the sleeve.
  • the sleeve may be knitted in a manner including zones of hook receivable material or structure, and the corresponding strap may include hook material for engaging the hook receivable zone. Loops may be formed directly by the orthopedic device for guiding the strap or cables.

Abstract

Un manchon (100) présente un corps tubulaire (102) formé d'un textile élastique et a des première et seconde extrémités (104, 106). La première extrémité (104) définit une manchette de verrouillage (108) ayant une bande collante (110) s'étendant autour d'une surface extérieure (E) du manchon (100) ; une bande non collante (112) située adjacente à la bande collante (110) et s'étendant de manière distale à partir de celle-ci ; et une bande de réception (116) adjacente à la bande non collante (112) et s'étendant de manière distale à partir de celle-ci. Le corps textile définit en outre une partie centrale (117) adjacente à la bande de réception (116) et s'étendant de manière distale à partir de celle-ci jusqu'à la seconde extrémité (106). La partie centrale (117) comprend une bande anatomique (120) agencée pour épouser l'anatomie d'un utilisateur ayant au moins une propriété élastique différente qui est différente d'une propriété élastique de la partie centrale (117) à l'extérieur de la bande anatomique (120).
EP21844577.3A 2020-12-28 2021-12-22 Manchon et procédé d'utilisation avec dispositif orthopédique Pending EP4267049A1 (fr)

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PCT/US2021/064789 WO2022146806A1 (fr) 2020-12-28 2021-12-22 Manchon et procédé d'utilisation avec dispositif orthopédique

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